HomeMy WebLinkAboutZ-7299NO. 4
TOWN OF SOUTHOLD
BUH,I~ING DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at ....Ba..YV.i.e?..&.~. ............ Street
Map No.8...~e...l*..h~..~..~Block No ........... Lot No..~ ~ ~ ~. ~ ~ ..... ~?~ ........
~ code
conforms substantially to the
Before eertifiea~ of ~cup~y
dated ..... APR.. 23. ........ , 19 ~2. p~suant to which ~ No. Z72~..
dated ........... ~.~.. ~..., 19 .... 76 , was issued, ~d conforms to M1 of ~e req,,~r~
ments of the applicable pro~sions of the law. The occup~cy for which ~is certificate ~
issued is . ~i~0. ~ .~.!~. d~.~g..~ .a~hOd..g~ .............
The ce~ificate is issued to .. ~a~e..~. ~ .... ~e.~ .?~. F~.~?F9 ................
(owner, lessee or ten,t)
of the Moresaid building.
S~olk County Dep~tment of Healtk Approval p~e~.ex~.~g. ....................
UNDERWRITERS CERTIFICATE No.. P~. ~.~ ........................
HOUSE NUMBER .... ~0 ..... ~...~Y~. ~.. ~~ .......
Building Inspector
HOUSING CODE INSPECTION
October 13, 1976
1350 Bayview Avenue
Greenport, N.Y.
Owner: Leslie Jordon Hart
Lots 111, 112, 113, Summer Haven, Map 1133
Upon request for a Pre-existing Certificate of Occupancy,
I made this inspection. I admitted myself to the building
at about 3:30 P.M. with a key which was attached to the appli-
cation.
This is a one-family dwelling with an attached garage.
The cellar stairs are in violation as they have unequal risers
ranging from 1-1/2 to 10-3/8 inches.
In the rear yard is an accessory building (garage) built
under Building Permit #6906Z and Certificate of Occupancy ~ 55~
There are no fences on this property.
I found no other violations on these premises. I completed
this inspection at approximately 3:45 and, after locking the
house, returned the key to the office.
Respectfully submitted,
George H. Fisher
Building Inspector
GH:med
FORM NO. 6
TOWN OF SOUTHOLD
, Building Department
Town Clerks Office
Southold, N. Y, 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink,, and submitted in DUPLICATE to the Building
Inspector with the foUowing; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal--(So9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and
installations, a certificate of Code compIJonce from the Architect or Engineer responsible for
the building.
5. Submi~ Pla~nning Board approval of completed site plan requirements where applicoble.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey.of property showing aU property lines, streets, buildings and unusual natural
or topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in-
formation required to prepare a certificate.
C. Fees: 1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date ...Oc.~s~.bo~. ............ e...~Lg.7,6..
New Building ................ Addition ................ Old or Pre-existing Building ................ Vacant Lond ..............
Location Of Property ...]~a3~.l.ew.._~.v. en~te...a:..~.w.a~3amomc~quee..~nu~3old~...Naw...yo.~k ........
Owner Or Owners Of Property .... l'.~fJ3.~.e...J~delt...H&z,~. .......................................................................
Subdivision ..~.tatl]TJe~...Re..Ir. eJ~. ................................ Lot No.
112
113
........... Block No ............. House No .............
Permit No ..................... Date Of Permit .................... Applicant ..................................................................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Fined Certificate ..........................................
Fee Submitted $ ..~.~.O.O .........................
Construction on above described building an.~n_ ~lj.n~l~e~A/Jell app~cable c~o~s ~g~ regulations.
Applicant .......
~ .w. ~i~. ~. ~;fo°, r~fm.~ .~;~, ~,O~.e.:~,,., ~.c).~' ...... V ~,~/7 ~_..~'~/~
Notary Public ....... ~ ..................... County WALTER G KAPP'- ~''